Man­ag­ing testos­terone lev­els

The Star Malaysia - Star2 - - BMS INDULGE -

THIS sec­ond of 12 ar­ti­cles on testos­terone de­fi­ciency syn­drome dis­cusses trends in an­dro­gen re­place­ment ther­apy in men

Many catchy mar­ket­ing taglines present a seem­ingly “ef­fec­tive and fast” so­lu­tion testos­terone re­place­ment for com­mon life­style prob­lems and stress faced by men.

In­evitably, testos­terone is also linked to men’s ba­sic in­stinct (de­sire) and per­for­mance, or the lack of them in the bed­room.

What is Big T?

The “T” here refers to testos­terone (also called an an­dro­gen), which is re­spon­si­ble for the de­vel­op­ment and main­te­nance of mas­cu­line char­ac­ter­is­tics and male sex­ual or­gans.

It is also im­por­tant for mus­cle and bone growth and the main­te­nance of mus­cle bulk, ad­e­quate lev­els of red blood cells, a sense of well-be­ing and sex­ual func­tion, as well as com­pet­i­tive drive, stamina and gen­eral out­look on life. Testos­terone also makes the veins un­der the skin more prom­i­nent and re­duces fat lev­els in the body.

Testos­terone de­fi­ciency in men means the body has lower than aver­age lev­els of male hor­mones, par­tic­u­larly, testos­terone. It can oc­cur at any age.

Obe­sity, di­a­betes mel­li­tus and meta­bolic syn­drome can ac­cel­er­ate the de­crease in testos­terone lev­els. Men of any age can also suf­fer from adrenal in­suf­fi­ciency, a leading fac­tor in in­sulin re­sis­tance and low testos­terone lev­els.

The di­ag­no­sis and treat­ment of low testos­terone (Low T) might re­quire a cou­ple of con­fir­ma­tory tests. Treat­ment mainly in­volves testos­terone re­place­ment ther­apy (TRT). Oral forms of TRT are gen­er­ally dis­cour­aged be­cause it causes sig­nif­i­cant liver tox­i­c­ity and in­creases the risk of be­nign pro­static tu­mours.

Nonethe­less, be­fore turn­ing to TRT, you should fa­mil­iarise yourself with the side ef­fects and health risks.

Ad­ver­tise­ments do men­tion po­ten­tial side ef­fects. How­ever, most have failed to men­tion an ar­ti­cle pub­lished in the New Eng­land Jour­nal of Medicine in 2010, where a group of men with an aver­age age of 74 us­ing testos­terone gel had higher in­ci­dences of car­diac, re­s­pi­ra­tory and der­ma­to­logic events, which led to the early ter­mi­na­tion of this large study at Bos­ton Univer­sity School of Medicine.

The ad­ver­tise­ments also don’t high­light how risky ex­po­sure to testos­terone gel is for oth­ers, in­clud­ing fe­male part­ners, chil­dren and even pets.

For men who mis­use large doses of testos­terone for an­abolic ef­fects, the risk of side ef­fects in­creases sig­nif­i­cantly.

The re­ported side ef­fects of TRT are due to the use of ex­oge­nous testos­terone.

Pro­longed use of TRT prompts the pi­tu­itary gland to stop pro­duc­ing the hor­mone go­nadotropin. This, in turn, sup­presses nor­mal (en­doge­nous) testos­terone and sperm pro­duc­tion.

Testofen is a unique fenu­greek seed ex­tract stan­dard­ised for 50% Fenu­side patented and owned by Gen­cor Pa­cific Group Inc, US. Testofen has the abil­ity to help en­hance li­bido and im­prove mus­cle mass, prop­er­ties not seen in any other cur­rently avail­able non-stan­dard­ised fenu­greek ex­tracts.

One pub­lished paper showed that Testofen demon­strated both an­dro­genic and an­abolic prop­er­ties.

Dur­ing a clin­i­cal trial for arthri­tis us­ing fenu­greek seed ex­tract (Trigonella foenum-grae­cum), par­tic­i­pants re­ported an in­crease in li­bido.

It was found that the seed ex­tract used came from a re­gion in In­dia where unique soil, mois­ture and at­mo­spheric con­di­tions caused a high con­cen­tra­tion of spe­cific saponins (furostanol gly­co­sides) in the seeds pro­duc­ing the li­bido-en­hanc­ing ef­fect. That dis­cov­ery, cou­pled with the unique pro­cess­ing and ex­trac­tion meth­ods em­ployed, re­sulted in the de­vel­op­ment of a patent called Testofen.

Other than sup­ple­men­ta­tion, there are two other ways to in­crease one’s testos­terone lev­els, which are life­style and diet changes.

For de­tails, call 03-5638 3660 or e-mail ask-Prime@cam­bert. To find out whether you need help, take the Age­ing Male Symp­toms (AMS) ques­tion­naire at www.myprimesur­ Al­ter­na­tively, log on to or www. face­

Testos­terone is re­spon­si­ble for the de­vel­op­ment and main­te­nance of mas­cu­line char­ac­ter­is­tics.

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